Active NPI
Randall D. Wolcott, M.D.
- Physical Medicine & Rehabilitation Physician
- Lubbock, TX
National Provider Identifier
1487653358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- G6248
- Practice address
- 2002 Oxford Ave
Lubbock, TX 79410-1025 - Phone
- (806) 793-8869
- Fax
- (806) 793-0043
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | G6248 | TX | Primary |
Addresses
Primary practice location
2002 Oxford Ave
Lubbock, TX 79410-1025
Mailing address
2002 Oxford Ave
Lubbock, TX 79410-1025
Phone (806) 793-8869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G6248 | TX | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194566400000",
"number": "1487653358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 OXFORD AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101025",
"telephone_number": "806-793-8869",
"fax_number": "806-793-0043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 OXFORD AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794101025",
"telephone_number": "806-793-8869",
"fax_number": "806-793-0043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLCOTT",
"first_name": "RANDALL",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2007-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "G6248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.